Table 1.
Demographic, clinical, and operative characteristics for Crohn’s Disease patients undergoing an elective colectomy, stratified by operative approach
| Characteristic, n (%) | Laparoscopic converted to open | Open | pa | Laparoscopic | pb |
|---|---|---|---|---|---|
| 1017 (12.6) | 3253 (40.5) | 3769 (46.9) | |||
| Age group, years | 0.001 | < 0.001 | |||
| < 30 | 223 (21.9) | 613 (18.8) | 1247 (33.1) | ||
| 30–39 | 254 (25.0) | 697 (21.4) | 951 (25.2) | ||
| 40–49 | 189 (18.6) | 624 (19.2) | 618 (16.4) | ||
| 50–59 | 157 (15.4) | 653 (20.1) | 473 (12.6) | ||
| ≥ 60 | 194 (19.1) | 666 (20.5) | 480 (12.7) | ||
| Sex | 0.005 | < 0.001 | |||
| Male | 565 (55.6) | 1642 (50.5) | 1589 (42.2) | ||
| Female | 452 (44.4) | 1611 (49.5) | 2180 (57.8) | ||
| Race | 0.205 | 0.316 | |||
| White | 801 (78.8) | 2578 (79.3) | 3008 (79.8) | ||
| Black | 97 (9.5) | 349 (10.7) | 304 (8.1) | ||
| Otherc/Unknown | 119 (11.7) | 326 (10.0) | 457 (12.1) | ||
| ASA classification | < 0.001 | < 0.001 | |||
| I-II | 626 (61.6) | 1620 (49.9) | 2573 (68.3) | ||
| III | 386 (38.0) | 1591 (49.0) | 1172 (31.1) | ||
| IV-V | 4 (0.4) | 39 (1.2) | 21 (0.6) | ||
| BMI ≥ 30 kg/m2 | 232 (23.0) | 614 (19.1) | 0.007 | 693 (18.5) | 0.002 |
| Diabetes | 41 (4.0) | 106 (3.3) | 0.238 | 100 (2.7) | 0.021 |
| Current smoker | 235 (23.1) | 901 (27.7) | 0.004 | 758 (20.1) | 0.037 |
| Steroid use | 664 (65.3) | 2026 (62.6) | 0.119 | 2437 (65.1) | 0.898 |
| Dyspnea | 19 (1.9) | 85 (2.6) | 0.179 | 63 (1.7) | 0.668 |
| COPD | 11 (1.1) | 62 (1.9) | 0.077 | 32 (0.9) | 0.485 |
| Hypertension | 200 (19.7) | 624 (19.2) | 0.733 | 482 (12.8) | < 0.001 |
| Bleeding disorder | 28 (2.8) | 87 (2.7) | 0.892 | 55 (1.5) | 0.005 |
| > 10% weight loss | 85 (8.4) | 345 (10.6) | 0.038 | 254 (6.7) | 0.074 |
| Pre-op transfusion | 10 (1.0) | 39 (1.2) | 0.573 | 16 (0.4) | 0.031 |
| Pre-op hematocrit | < 0.001 | 0.001 | |||
| Abnormal | 357 (35.1) | 1451 (44.6) | 1128 (29.9) | ||
| Normal | 610 (60.0) | 1669 (51.3) | 2378 (63.1) | ||
| Unknown | 50 (4.9) | 133 (4.1) | 263 (7.0) | ||
| Pre-op white blood cell count | 0.181 | 0.006 | |||
| Abnormal | 292 (28.7) | 1025 (31.5) | 966 (25.6) | ||
| Normal | 672 (66.1) | 2083 (64.0) | 2510 (66.6) | ||
| Unknown | 53 (5.2) | 145 (4.5) | 293 (7.8) | ||
| Pre-op BUN | 0.024 | 0.004 | |||
| Abnormal | 185 (18.2) | 711 (21.9) | 572 (15.2) | ||
| Normal | 735 (72.3) | 2279 (70.1) | 2719 (72.1) | ||
| Unknown | 97 (9.5) | 263 (8.1) | 478 (12.7) | ||
| Pre-op creatinine | 0.005 | < 0.001 | |||
| Abnormal | 587 (57.7) | 2061 (63.4) | 2352 (62.4) | ||
| Normal | 355 (34.9) | 997 (30.7) | 1038 (27.5) | ||
| Unknown | 75 (7.4) | 195 (6.0) | 379 (10.1) | ||
| Mechanical bowel prep | < 0.001 | 0.757 | |||
| No | 350 (34.4) | 1344 (41.3) | 1327 (35.2) | ||
| Yes | 538 (52.9) | 1507 (46.3) | 1945 (51.6) | ||
| Unknown | 129 (12.7) | 402 (12.4) | 497 (13.2) | ||
| Pre-op oral antibiotic | < 0.001 | 0.480 | |||
| No | 384 (37.8) | 1482 (45.6) | 1443 (38.3) | ||
| Yes | 529 (52.0) | 1436 (44.1) | 1897 (50.3) | ||
| Unknown | 104 (10.2) | 335 (10.3) | 429 (11.4) | ||
| Concurrent organ removald | 95 (9.3) | 339 (10.4) | 0.320 | 171 (4.5) | < 0.001 |
| Concurrent fistula | 69 (6.8) | 238 (7.3) | 0.567 | 110 (2.9) | < 0.001 |
| Preoperative sepsis | 61 (6.0) | 259 (8.0) | 0.038 | 126 (3.6) | < 0.001 |
| Resection type | 0.368 | 0.276 | |||
| Segmental resection | 206 (20.3) | 702 (21.6) | 823 (21.8) | ||
| Ileocolic resection | 811 (79.7) | 2551 (78.4) | 2946 (78.2) |
SD standard deviation, ASA American Society of Anesthesiologists, BMI body mass index, COPD chronic obstructive pulmonary disease, BUN blood urea nitrogen
aLaparoscopic converted to open vs. open colectomy
bLaparoscopic converted to open vs. laparoscopic colectomy
cAsian, Native Hawaiian/Pacific Islander, or American Indian/Alaska Native
dGynecologic or small bowel organ removal